PARENT CONSENT FORM

I, Albert A. Lagria, parent of Brilliant Jay A. Lagria, born on October 26, 2002, do hereby
(parent name) (student name)

Authorize to do Physical Activities in PED001/Exercise Prescription and Management.

studying in Bachelor of Science in Marine Biology at MSU-Naawan.

I understand these Physical Activities in PED001/Exercise Prescription and

Management. My son does not have any medical condition or needs that exempt
him/her from participating fully in all such activities. It is not comprehensive activities
and it is not intended nor creates a student misbehave. I understand that Student
participation comes with the risk of injury. This activity helps my son to be healthy not to
become wealthy. It is my responsibility to seek the care of my son.

I clarify I am the parent of this student. And I understand the information above.

Albert A. Lagria October 13, 2021

(Signature of Parent) (sign date)

09368484309)
(parent contact number)